Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | CA |
NPI | 1023602661 |
---|---|
Provider Name | Mrs. Veronica Sarabia Beltran |
First Address | Cypress, CA 90630-4119 |
Second Address | Cypress, CA 90630-4119 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2021 |
Last Update Date | 24/02/2021 |